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What Causes Headaches, Balance Issues, Fainting And Vomiting?

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Posted on Tue, 11 Aug 2015
Question: Periodic lightheaded, cloudy head feeling. Not a spinning. Just off feeling...like head is in a fog. Balance issues. Usually made better by standing and walking. Probably started last October with a fainting episode. Just the one time but had a few episodes of feeling faint here and there from October to.December. nothing from December to May. In October had ekg, all sorts of blood tests, ct scan (because when I fainted I fell straight back and slammed my head in a concrete floor). In May, blood tests and ekg. Clear. 46 year old woman.. No.daily meds. Am.seeing some changes in menstrual cycle.. Slow starting, shorter cycles.. Weird bleeding patterns. Light to start then just a couple heavy days with loads of small clots.

Had a bad episode Monday night. Could barely drive. Walking around once I could helped. Once I got home I was exhausted but didbt sleep. Also Had to pee constantly.. And by constantly mean every 30 minutes or less.

I had an ultrasound last year for the peeing issue.. Pelvic congestion syndrome.

Oh, also have headaches. Bad. Never had them in my life but now they are frequent. And can take 6 Advil before they will be relieved. Just a side note my 9 year old had cyclic vomiting syndrome from 18 months old on...prone to headaches now. Never thought I got migraines but think I have them now.. Which would make sense given cvs and the link to migraines would indicate a hereditary factor.

Concerned it's something serious. Affecting work. Which is a highly stressful environment, as is home life. Help!!!
doctor
Answered by Dr. Priyank Mody (2 hours later)
Brief Answer:
It's mostly Peri menopausal syndrome..

Detailed Answer:
Hello, I am Dr. Mody and I would be addressing your concern.
Firstly I should thank you for such an elaborate and accurate description of your symptoms, and that will help me guide you better.
All your symptoms fit into the umbrella diagnosis of 'peri menopausal syndrome' , where the change in cycle pattern, increased urination, mood swings, headache, general felling of low and easy tiredness all may be seen.
This is when a woman is approaching menopause, there are wide flings in the levels of estrogen and progesterone, which a woman's hormones, leading to the above symptoms.
Also inadequate support system at work and home and associated anxiety would exaberate all the symptoms. So do refrain from it.

I would request you a upload all your last investigation and read something about it online forums or discuss it with your friends who may be going through similar blues,
I would discuss the plan of action post review of reports and more details from your side.
In 90% of cases we can do away without medication, if we embrace the fact that this is a natural phenomenon.
Also your thyroid status would be something I am interested into .
Hoping I could help.
Regards Dr. Priyank Mody
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Priyank Mody (8 hours later)
I am waiting on thyroid results but I had I think everything tested in May and they didn't mention anything then.

would also mention I have constant burping. not acid feeling or burning. just always belching....flatulence too a lot.

any feedback on maca root use? also the b vitamins.
doctor
Answered by Dr. Priyank Mody (7 hours later)
Brief Answer:
Be reassured and try the below remedies for relief

Detailed Answer:
Hello, as I pointed out I felt all the symptoms are maybe due to you reaching your menopause.
Some suggestions I would like to make for the same.
1) symptomatic itc treatment, and spending some time completely for yourself, no work, no children , maybe some pampering, staying active going to gym, yoga would help a lot
3)For your stomach and burping.
- small frequent meals
-avoid too much coffee, tea, chocolate, fried and spicy food, no aerated drink
- strictly no smoking and no binge drinking
- otc antacid may be taken some time before you take your meals
-tab sompraz d (40) once a day 15 min before breakfast, it contains esomeprazole and domperidome. Any generic can be taken, Should be available directly at Pharmacy.
Avoid sleeping, two hours peal dinner and lunch
Some exercise should work wonders
4) soy - is a very good source of hormone, estrogen, and atleast 2/3 serving per week should be helpful
5) do not continue sudafed more than required as it has its own side effects, like it may increase your blood pressure, heart rate and make you feel uneasy
6) if all reports in may are normal, repeating thyroid now might not be justified
7) estrogen vaginally creams are available, which will help with the congestion part feel and decrease the frequency of going to pee.
8) maca roots have lot or vitamin, minerals and hormone, it does help in such peri menopausal period but the dose and purity of it needs to be verified by the pharmacy, as a doctor I wouldn't advocate it's use because it's still unproven scientifically whether it would help.
9) I may discuss hormone replacement therapy with your doctor if symptoms persist
10) a visit to a gynecologist, to discuss all your problems and decide the action plan best for you.
Hopefully I could help.
As I end I would like to reassure you that nothing is seriously wrong with your body, it's a natural phase from which every woman passes.
Regards Dr Priyank Mody

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Priyank Mody (6 hours later)
how do migraines factor in? I don't consider I.had headaches much before but I have them frequently over the past year or two.. is it possible perimenopause is triggering migraines even if you didn't have history before? my daughter, now 9, had cyclic vomiting syndrome (which has strong links to migraines) starting at 18 months old. .I assumed the hereditary link.came from.her father's side but now I'm wondering if it's me given the number of headaches I get now. Which is put at 15 to 20 a month.
doctor
Answered by Dr. Priyank Mody (22 hours later)
Brief Answer:
Yes migraine can occur for the first time ,however it's temporary

Detailed Answer:
The effect of menopause of migraine is varied,
In may cause migraine for the first time during perimenapousal period , the good part is they tend to subside once you reach menopause as when hormone levels go consistently low.

I think you are taking it to far by considering that your daughter may have got it from you as migraine is a multifactorial disease and science has not been able to find the exact gene to determine where she is got it from, it's just an observation that if mothers had migraine, the child might have more chances of cyclical vomiting syndrome. Which some ppl call as abdominal migraine , however both your hormone induced migraine and cvs in daughter is self limiting as it's goes off as soon as the hormone fluctuations stabilise.

There is some wonderful genuine information on menopause.org, to understand different things that can occur during this period and how to cope up with the same.
Now you may take simple paracetamol (acetaminophen) when the headache start, if well controlled no further treatment for same, however if it's persist s and is interfering in your daily life, you may visit your doctor and he would start on prophylaxis for the same.
Also calming your body down with relaxation exercise, would help you to relieve many of the symptoms.
Regards Dr Priyank Mody
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Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 918 Questions

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What Causes Headaches, Balance Issues, Fainting And Vomiting?

Brief Answer: It's mostly Peri menopausal syndrome.. Detailed Answer: Hello, I am Dr. Mody and I would be addressing your concern. Firstly I should thank you for such an elaborate and accurate description of your symptoms, and that will help me guide you better. All your symptoms fit into the umbrella diagnosis of 'peri menopausal syndrome' , where the change in cycle pattern, increased urination, mood swings, headache, general felling of low and easy tiredness all may be seen. This is when a woman is approaching menopause, there are wide flings in the levels of estrogen and progesterone, which a woman's hormones, leading to the above symptoms. Also inadequate support system at work and home and associated anxiety would exaberate all the symptoms. So do refrain from it. I would request you a upload all your last investigation and read something about it online forums or discuss it with your friends who may be going through similar blues, I would discuss the plan of action post review of reports and more details from your side. In 90% of cases we can do away without medication, if we embrace the fact that this is a natural phenomenon. Also your thyroid status would be something I am interested into . Hoping I could help. Regards Dr. Priyank Mody